Active NPIIndividual provider

Alyssa J Requillo

Occupational Therapist in Bloomfield, New Jersey

NPI Number1043967888
Practice location
11 Urma Pl, Bloomfield, NJ 07003-3133
Fax
—
Last updated
March 2, 2022

Alyssa Joy Requillo is an Occupational Therapist based in Bloomfield, NJ. Alyssa Joy Requillo practices in Bloomfield, NJ. The NPI Number for Alyssa Joy Requillo is 1043967888 and holds a License No. 026357 (NY). The current practice location address for Alyssa Joy Requillo is 11 Urma Pl, Bloomfield, NJ 07003-3133 and can be reached out via phone at 973-508-0205.

Provider Profile Details

NPI Number
1043967888
Provider Name
Alyssa Joy Requillo
Provider Entity Type
Individual
Gender
Female
Address
11 Urma Pl, Bloomfield, NJ 07003-3133
Phone Number
973-508-0205
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
March 2, 2022
Last Update Date
March 2, 2022
Certification Date
March 2, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Urma Pl
Bloomfield, NJ 07003-3133
Zip
07003-3133
Phone Number
973-508-0205
Bloomfield, NJ 07003Get directions →

Provider Business Mailing Address Details

Address
11 Urma Pl
Bloomfield, NJ 07003-3133
City
Bloomfield
State
NJ
Zip
07003-3133
Phone Number
973-508-0205

License Information

License Number (1)
026357
License State (1)
NY
Taxonomy (1)
Occupational Therapist · 225X00000X
License Number (2)
46TR01029000
License State (2)
NJ
Taxonomy (2)
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alyssa J Requillo?

The NPI number of Alyssa J Requillo is 1043967888. It was assigned on March 2, 2022 and is currently active in the NPPES registry.

What is the specialty of Alyssa J Requillo?

Alyssa J Requillo is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NY under license number 026357.

Where does Alyssa J Requillo practice?

The practice location is 11 Urma Pl, Bloomfield, NJ 07003-3133. The office can be reached at 973-508-0205 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043967888 directly on the NPPES registry website.

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